Provider Demographics
NPI:1508633702
Name:FOUNDATIONS PHYSICAL THERAPY PLLC
Entity Type:Organization
Organization Name:FOUNDATIONS PHYSICAL THERAPY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RONIT
Authorized Official - Middle Name:
Authorized Official - Last Name:SUKENICK
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:617-417-3471
Mailing Address - Street 1:35 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:HASTINGS ON HUDSON
Mailing Address - State:NY
Mailing Address - Zip Code:10706-3916
Mailing Address - Country:US
Mailing Address - Phone:617-417-3471
Mailing Address - Fax:
Practice Address - Street 1:145 PALISADE ST STE 322
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-1695
Practice Address - Country:US
Practice Address - Phone:617-417-6471
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-07
Last Update Date:2023-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationGroup - Single Specialty